Individual provider Active NPI

Kasey Taehoon Ro, DPT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1982263570
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015976 Issued in CO
Practice address
1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Phone
(719) 542-0589
NPI assigned
Jun 7, 2019
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015976 CO Primary

Addresses

Primary practice location

1275 W Pueblo Blvd
Pueblo, CO 81004-3866

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210920001675 WA Practitioner - Physical Therapist in Private Practice 7012241565 Reassigns benefits to 4 organizations
I20220318001156 OR Practitioner - Physical Therapist in Private Practice 7012241565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physical Therapy Services of Mill Creek, LLCGroup PAC ID 2264932722, 3 clinicians

Practice addresses (Care Compare)

14905 Bothell Everett Hwy
Mill Creek, WA 98012-5315
Phone (425) 381-9134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physical Therapy Services of Mill Creek, LLC Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Feb 8, 2022 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

790 Remington Blvd
Bolingbrook, IL 60440

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1982263570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043866",
            "telephone_number": "719-542-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "KASEY",
        "middle_name": "TAEHOON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.